Provider Demographics
NPI:1043335367
Name:RECTOR, ANGELA R (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:RECTOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1330 NEAL ST STE D
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4307
Mailing Address - Country:US
Mailing Address - Phone:931-650-3354
Mailing Address - Fax:931-528-6826
Practice Address - Street 1:1330 NEAL ST STE D
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4307
Practice Address - Country:US
Practice Address - Phone:931-650-3354
Practice Address - Fax:931-528-6826
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health